NBFA Membership Form

National Black Farmers Association

Membership Form
Name*

First NameMiddle NameLast NameSuffix
Spouse/Partner

First NameMiddle NameLast NameSuffix
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone Number

Area CodePhone Number
Farm or Business Name
Did you participate in the Black Farmer Lawsuit or Discrimination Program?*

Pigford Class Action (1999)In Re Black Farmers (2012)Discrimination Financial Assistance Program (DFAP) (2024)No
Did you participate in a USDA Discrimination Class Action Lawsuit or USDA Discrimination Program?

Black Farmers Class Action - Pigford (1999)In Re Black Farmers Class Action - Pigford II (2012)Native American Farmers Class Action - Keepseagle (2012)Women and Hispanic Farmers Class Action - Love & Garcia (2012)USDA Discrimination Financial Assistance Program - DFAP (2024)
Farming Experience?*

Less than 5 yearsMore than 5 yearsNo Experience
Membership Donations - Annual (1 yr) = $100.00 & Lifetime = $2,000

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USDAnnual Membership Donation $100 Lifetime Membership $2,000
This Membership Form may be printed, completed and returned to:

National Black Farmers Association

68 Wind Road, Baskerville, Virginia 23915

We may be contacted via email: NBFA.Kara@gmail.com
Should be Empty:

National Black Farmers Association